A recently completed analysis of the impact of Medicaid managed care on key quality indicators found managed care organizations (MCO) outperformed fee-for-service (FFS) and primary care case management (PCCM) programs for both Child and Adult Core Set measures, once the data was normalized with respect to beneficiary distribution in each model.
1767 Results found.
Amy Bassano, former deputy director for the Center for Medicare and Medicaid Innovation (CMMI) at the Centers for Medicare and Medicaid Services, has joined national healthcare consulting firm Health Management Associates (HMA), taking the helm as a managing director of Medicare services.
This week our In Focus reviews the Rhode Island Medicaid managed care request for qualifications (RFQ), released on November 12, 2021, by the Executive Office of Health and Human Services (EOHHS). Contracts are worth approximately $1.4 billion annually and cover over 300,000 individuals.
This week our In Focus reviews Minnesota Department of Human Services (DHS) requests for proposals (RFPs) for two of the state’s Medicaid managed care programs: Minnesota Senior Health Options/Minnesota Senior Care Plus and Special Needs BasicCare/Integrated Special Needs BasicCare. Both RFPs, released on October 25, 2021, cover health care services in all 87 Minnesota counties.
In a new report released by the Better Medicare Alliance (BMA), HMA colleagues Zach Gaumer and Elaine Henry concluded that the greater flexibility of the Medicare Advantage plan model enabled plans to offer providers additional support during 2020 that were not found within the Fee-For-Service (FFS) Medicare program. The report’s findings were previewed in a recent panel discussion during the BMA’s Medicare Advantage Summit.
This week, our In Focus section shares HMA’s takeaways from the Centers for Medicare & Medicaid Services (CMS) white paper on the CMS Innovation Center Strategy Refresh: Driving Health System Transformation – A Strategy for the CMS Innovation Center’s Second Decade.
This webinar was held on November 8, 2021
Veteran Medicaid directors from Florida, South Dakota, and Idaho will provide a frank assessment of the many challenges, opportunities, and competing priorities facing state Medicaid leaders. Beth Kidder (Florida), Bill Snyder (South Dakota), and Matt Wimmer (Idaho) recently joined HMA after heading up state Medicaid programs during one of the most turbulent public health crises in a generation. The panel will be moderated by HMA Chief Operating Officer Chuck Milligan.
During this webinar, they shared their thoughts on how Medicaid directors will likely approach such pressing issues as successfully emerging from the public health emergency, assessing opportunities afforded by President Biden’s Build Back Better plan, and addressing looming challenges involving labor shortages, an impeding fiscal cliff, the future of pandemic-related regulatory flexibilities, and the growing role of home and community-based services (HCBS). Finally, they shared recommendations on how organizations can best maximize their effectiveness when meeting with state Medicaid directors by better understanding their world and what they need from various healthcare constituents like you.
- Understand the major trends and competing priorities facing state Medicaid leadership against a rapidly shifting local, state, and federal landscape.
- Find out what the “new normal” will look like for state Medicaid programs as they emerge from the public health emergency and wrestle with changes in enrollment, eligibility requirements, fiscal constraints, and the future of regulatory flexibilities installed during the pandemic.
- Learn how federal legislation and various state initiatives are driving dramatic changes in Medicaid, including expanded funding for HCBS, the success of telehealth services, expanded access to post-partum care, and the likely impact of the Build Back Better plan.
- Find out how to overcome growing workforce shortages and other challenges that are impacting the ability of Medicaid beneficiaries to access care, including emerging HCBS offerings.
- Learn how to maximize your effectiveness when meeting with state Medicaid representatives and how to uncover effective ways to partner with and support state Medicaid initiatives.
- Beth Kidder, Managing Principal, Tallahassee, FL
- Chuck Milligan, Chief Operating Officer (Moderator), Denver, CO
- Bill Snyder, Principal, Leavitt Partners, an HMA Company, Rapid City, SD
- Matt Wimmer, Principal, Denver, CO